{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"LORIE   A POSTON","gend":1,"add":"91 MARLBROOK LN APT 6","city":"BUENA VISTA","state":"VA","zip":"24416-9998","dob":"1973-10-05","age":"","mstatus":"","insh":"900040032*01","cliId":"","pno":"540\/460-1573","cno":"","email":"","ename":"","eno":"","pphy":"BAILEY III, D JAMES MD","ppno":"540\/344-3276","pcpadd":"3501 COLONIAL GREEN CIRCLE","pcpcity":"ROANOKE","pcpstate":"VA","pcpzip":24018,"pcpcounty":"","pcpid":"","pcpname":"ENDOCRINOLOGY ASSOCIATES INC","plan":"OHP","program":"MEDICARE","lob":"DSNP","region":"ROANOKE ALLEGHANY","aligned":"Y","ano":"","add2":"","add3":"","madd1":"","madd2":"","madd3":"","mcity":"","mstate":"","mzip":"","pcpfaxno":"540\/342-4399","pcpnpi":""},{"a":{"indx":["","","","","","","","1"],"comment":["","","","","","","",""],"sub":{"indx":[["No Ethnicity"]],"comment":[[""]],"sub":[]}}},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["E11.42","E11.65","E55.9","M79.605","I10.","G89.4","M54.16","Z79.4","M79.662","E11.40","Z48.89","Z98.1","Z12.31","M47.896","M48.061","M51.36","M47.816","M25.78","M89.8X6","M54.5","M96.1","M54.9","Z79.899","Z01.812","Z01.818","D51.0","E11.319","M41.9","M79.606","M54.50","Z47.89","Z98.890","G62.9","M54.42","G89.29","R07.9","R35.0","E78.00","M76.71","M25.551","Q65.89","M25.571","M70.61","E66.01","Z79.891","M79.18","M79.652","Z53.8","I20.9","I48.0","J45.909","M06.9","Z79.82","Z86.73","M79.2"],"date":["2021-03-30","2021-12-01","2021-11-15","2021-04-07","2021-11-15","2021-06-30","2021-12-02","2021-12-01","2021-04-21","2021-07-07","2021-04-12","2021-12-02","2021-06-30","2021-06-23","2021-12-02","2021-06-23","2021-12-02","2021-12-02","2021-03-30","2021-06-02","2021-10-11","2021-10-14","2021-06-10","2021-06-28","2021-06-28","2021-11-15","2021-11-15","2021-10-14","2021-10-14","2021-10-14","2021-08-31","2021-10-14","2021-12-02","2021-10-14","2021-10-14","2021-06-30","2021-06-30","2021-06-30","2021-11-03","2021-02-17","2021-02-17","2021-11-03","2021-02-17","2021-06-10","2021-06-10","2021-07-02","2021-07-02","2021-07-02","2021-07-02","2021-07-02","2021-07-02","2021-07-02","2021-07-02","2021-07-02","2021-10-11"],"priorHcc":["","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","",""]}}]},{"t":"Covid Screening","q":[{"a":[]}]},{"t":"Self-Assessment and Social History","q":[{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]}]},{"t":"Activities of Daily Living","q":[{"a":[]}]},{"t":"Medical History","q":[{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]}]},{"t":"Family History","q":[{"a":[]}]},{"t":"Preventive Care","q":[{"a":[]},{"a":[]},{"a":[]},{"a":[]}]},{"t":"Allergies \/ Medications","q":[{"a":[]},{"a":{"comment":"","sub":[["","53746010901","HYDROCODONE\/ACETAMINOPHEN                                             ","5-325MG","30","Select","Select",""],["","88827735847","                                                                      ","","100","Select","Select",""],["","53885027210","ONETOUCH VERIO TEST STRIPS                                            ","VERIO","100","Select","Select",""],["","00088221905","LANTUS SOLOSTAR                                                       ","100\/ML","45","Select","Select",""],["","69097094312","GABAPENTIN                                                            ","300MG","90","Select","Select",""],["","08290320550","BD PEN NEEDLE\/NANO 2ND GEN\/32G X 5\/32\"                                ","32GX5\/32","100","Select","Select",""],["","08290320119","BD PEN NEEDLE\/MINI\/ULTRA-FINE\/31G X 5MM                               ","31GX5MM","100","Select","Select",""],["","00904672580","SENNA                                                                 ","8.6MG","30","Select","Select",""],["","70010049110","METFORMIN HYDROCHLORIDE ER                                            ","500MG ER","-360","Select","Select",""],["","69452015120","VITAMIN D                                                             ","50000UNT","10","Select","Select",""],["","00310620530","FARXIGA                                                               ","5MG","30","Select","Select",""],["","00093005805","TRAMADOL HCL                                                          ","50MG","-120","Select","Select",""],["","50742061510","METOPROLOL SUCCINATE ER                                               ","25MG ER","90","Select","Select",""],["","69097012403","TOPIRAMATE                                                            ","100MG","60","Select","Select",""],["","00169406013","VICTOZA                                                               ","18MG\/3ML","27","Select","Select",""],["","71335126102","SENNOSIDES                                                            ","8.6MG","60","Select","Select",""],["","68180051801","LISINOPRIL\/HYDROCHLOROTHIAZIDE                                        ","10-12.5","90","Select","Select",""],["","69238115409","EZETIMIBE                                                             ","10MG","90","Select","Select",""],["","51991074790","DULOXETINE HCL                                                        ","30MG","90","Select","Select",""],["","50428026496","CVS SENNA                                                             ","8.6MG","60","Select","Select",""],["","55111015810","OMEPRAZOLE                                                            ","20MG","90","Select","Select",""],["","70377000315","SIMVASTATIN                                                           ","20MG","90","Select","Select",""],["","57599000101","FREESTYLE LIBRE 14 DAY\/SENSOR\/FLASH MONITORING SYSTEM                 ","SENSOR","6","Select","Select",""],["","57599000200","FREESTYLE LIBRE 14 DAY\/READER\/FLASH MONITORING SYSTEM                 ","READER","1","Select","Select",""],["","43598043611","NITROGLYCERIN                                                         ","0.4MG","25","Select","Select",""],["","00169633910","NOVOLOG FLEXPEN                                                       ","FLEXPEN","15","Select","Select",""],["","00169413013","OZEMPIC                                                               ","4MG\/3ML","-9","Select","Select",""],["","73070010315","INSULIN ASPART FLEXPEN                                                ","FLEXPEN","-15","Select","Select",""],["","59746000103","METHYLPREDNISOLONE DOSE PACK                                          ","4MG","21","Select","Select",""],["","00378180310","LEVOTHYROXINE SODIUM                                                  ","50MCG","90","Select","Select",""],["","68180016011","AZITHROMYCIN                                                          ","250MG","6","Select","Select",""],["","69097052444","DICLOFENAC SODIUM                                                     ","1%","100","Select","Select",""],["","60505025103","TIZANIDINE HCL                                                        ","2MG","30","Select","Select",""],["","60505384801","CELECOXIB                                                             ","100MG","60","Select","Select",""]]}},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]}]},{"t":"Review of Systems and Diagnoses","q":[{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]}]},{"t":"Pain","q":[{"a":[]}]},{"t":"Vital Signs","q":[{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]}]},{"t":"Exam Review","q":[{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]}]},{"t":"Screenings Needed","q":[{"a":{"indx":["","1"],"comment":["",""]}},{"a":{"indx":["","1"],"comment":["",""]}},{"a":{"indx":["","1"],"comment":["",""]}},{"a":{"indx":["","1"],"comment":["",""]}},{"a":{"indx":["","1"],"comment":["",""]}},{"a":{"indx":["","1"],"comment":["",""]}},{"a":{"indx":["","1"],"comment":["",""]}},{"a":[]}]},{"t":"Mini-Cog","q":[{"a":[]},{"a":[]}]},{"t":"Home Safety & Personal Goals","q":[{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]}]},{"t":"Active Problem Conditions","q":[{"a":[]}]},{"t":"Patient Summary","q":[{"a1":"","a2":"","a3":"","a4":"","a5":"","a6":"","a7":[],"a8":"","a9":"","a10":[],"a11":"","a12":"","a13":""}]}]}